HomeMy WebLinkAboutMortgage_Wilson (4)"'� STATEMENT OF MORTGAGE OR CONTRACT INDEBTEDNES u o shi Year
__ , FOR DEDUCTION FROM ASSESSED VALUATION
� � � Sta[e Fortn d3709 (R11 / 6-09)
�' ,.�. � Preuribed Dy DeParimerit o1 Loral Govemment Rnance c� G
INSTRUCTIONS: AUG ` 6 `��
Fwm f�ed wiih:
To 6e fiied in person w by mail wifh Ne CounryAuditor or Counry Rewrder of the counry where the property is bcated.
Fiing Dafes: 1) Real Property: Musf file durirg the }rear Por which the deducfion is sought ``yy� �J unry Auditor
2J Mo6de /ManWacfured Homes rrot assessed as Real PropeRy: Must fiie dunng the twelve (72) mo�AnsB^�
before March 31 0� each year the deduction is sought. U p���ty Remrder
GIBSON COU TY
See reverse side !or adtltional instructions and qualifications. �
C�
esrnp}ion Remrtl num6er Page number
-�.� -�� -m /� y� 6-oa � ,� m 9 �/� 7
As�pd�rduetd rnal proppty at d Mortgage / Contrad inde6tetln�s unpaid as of Mortgage I Contr2G indebtetlness unpaiE as of Is Ihe epd�^� �e sole
MazM f, {irmn yar March 1, nirtent yrnr date of appGcation legal w epuilade wmefl
�/ , O ❑ Yes ❑ No
If rm. what is his 1 t�u e�mct share of intrRSt? H owned wi� someone oUfer Nan spause. 4diote witli Mtqm
If nartre an recad is ditferent Nan Ihat ot aPP��^L �dipte Eelmr. Is Ihe pfoperty in 0���^: �nua%ASSessed
❑ Real Properry ❑ Annualy Assessed
Abdle Hame (IC 61.1-7
Nama oi rtnrtgagee or mntraU seAer
or rvntretl se�er (numbe� and shee; r�: sbfe. aM LP code)
mortgaga
ciry, sbte, antl LP cade)
Oces applitant own poperty in any oNer If yes, what muni�7 Wtat Ta�drg Distrirl? Has Uis deduGion been requested on propeM1y
munry in Indana? ❑ Yf5 ❑ No for artent yea/.+ � Yes ❑ No